Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.85 / $123.56 / $397.10	Facility	26	$111.85	$123.56	$397.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $517.44 / $786.33	Professional		$370.50	$517.44	$786.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $123.56 / $155.65	Professional	26	$85.00	$123.56	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $261.17 / $372.22 / $453.25	Professional	TC	$261.17	$372.22	$453.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $269.30 / $629.51	Professional		$223.72	$269.30	$629.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $70.68 / $176.70	Professional	26	$56.82	$70.68	$176.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $592.07 / $862.28	Professional		$293.11	$592.07	$862.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $120.04 / $193.28	Professional	26	$73.06	$120.04	$193.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.29 / $497.13 / $715.77	Professional	TC	$247.29	$497.13	$715.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.90 / $79.90 / $87.95	Facility	26	$79.90	$79.90	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $580.01 / $959.40	Professional		$279.55	$580.01	$959.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.66 / $114.17 / $186.32	Professional	26	$65.66	$114.17	$186.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $451.54 / $773.50	Professional	TC	$212.80	$451.54	$773.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $703.76 / $703.76 / $720.40	Facility	26	$703.76	$703.76	$720.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,348.15 / $3,448.60 / $3,448.60	Professional		$3,348.15	$3,448.60	$3,448.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $597.70 / $597.70 / $616.42	Professional	26	$597.70	$597.70	$616.42
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,941.88 / $3,030.13 / $3,030.13	Professional	TC	$2,941.88	$3,030.13	$3,030.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.03 / $544.57 / $791.18	Professional		$346.03	$544.57	$791.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.03 / $94.79 / $167.46	Professional	26	$77.03	$94.79	$167.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.16 / $413.18 / $672.10	Professional	TC	$268.16	$413.18	$672.10